Raymond P. Russomanno M.D.

NPI 1093702532 - Internal Medicine - 207R00000X

NPI Details
NPI 1093702532
Gender Male
Enumeration Date 09/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
350 BLOOMFIELD AVE
BLOOMFIELD NJ, 07003-4852, US
Phone (973) 748-9330
Fax
Business Location
149 W HANOVER AVE
RANDOLPH NJ, 07869-4722, US
Phone (973) 748-9330
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number MA28917
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According to our database, Dr. Raymond P. Russomanno M.D. NPI is 1093702532, taxonomy code is 207R00000X and license number is MA28917, license state is located at New Jersey. Raymond P. Russomanno M.D. physically located at 350 Bloomfield Ave, Bloomfield NJ, 07003-4852. NPI Number Raymond P. Russomanno M.D. has the Individual type.

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1093702532 NPI number is provided on an as is basis without warranty of any kind. 1093702532 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond P. Russomanno M.D. are for informational purposes only.